| NPI | 1427378330 |
|---|---|
| Doing Business As | MEDICAL PARK PHARMACY |
| Entity Type | Organization |
| Authorized Contact | LANCE J GOSSETT Pharmacist In Charge 304-243-3739 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: WV OP0552216) |
| Additional Taxonomies | 3336L0003X Pharmacy, Long Term Care Pharmacy |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2019-10-07 |